Dues are still only $4.00 student, $8.00 single, $10.00 joint, $4.00 student, $150.00 lifetime.

Print out this form and send it in to join us.

New member ___   Renewal ___

Dues Level: (Circle one)

Single $8.00     Joint $10.00    Student $4.00     Lifetime $150.00


Name ______________________________________________________

Address ____________________________________________________

City _________________  State ______________  ZIP _________-_____

Phone _____________________________________________________

Email Address: ______________________________________________
 

I prefer to recieve my quarterly "Washington" newsletter by _____ US Mail or Email ______

Are you also a member of the Ohio Genealogical Society? ____

Please list  the Washington County names you are researching.

 

Signature for permission to print names being researched: _______________________________

Amount enclosed $ _________.

Make checks payable to: Washington County Chapter OGS
Mail to: Washington County Chapter OGS, PO Box 2174, Marietta, OH  45750-7174.